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4741 Berkshire Way Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - IFOr Office Use I I Il ~ Permit #©q City Of Ea~tt I I Permit Fee: qa 00 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: 5 - a 0 - 1 G Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ® Site Address: 1-.4741 I._~ K-KSh-T_Re JjV Tenant: SuiteM RESIDENT/OWNER Name: Y W O i~l_ PhonkoQ,30 • `Y 1 Address / City / Zip: x150 iq?'' Applicant is: Owner Contractor TYPE OF WORK Description of work: RIF 600--F VIE z> Construction Cost: - Soo -°fly' Multi-Family Building: (Yes / No ) CONTRACTOR Name: _ X t ~ ~6 3 ~ ~ha License raou.02,3 6 Address-l(o SM City: ~ 1`b~ l i l State: Y , IN Zip: SSQ k P Phone: I:-I(,A ~ ~l E'~-C 1 (U St111'Q S1 ) Contact: Stk clrJy 5Er'~ Email: top, (S Sl - -3 3 Lj of i~ C9_:C.. COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance wit~rdinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start thou a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's anted Name Applicant' atuir~, Page 1 of 2 ' Receipt tf 1 `i MECHANICAL PERI%i~ Permit No. 7 D CITY OF EAGAN Fee Fill in numbered spaces SIC Type or Print legibly Tot. Tu i 1. Date _ 0 1 - 2. Installation Cost 3. Job Address Lot 81k. Tract N 4. Owner ~5. Contractor'` e; ;Phone 6. Address 7. City State o ! ai`a: Zip 1 } try 1 -t f. S 8. Building Type: Residential t4- Commercial ❑ Institutional ❑ 9. Work Description: New Add ❑ Alter ❑ Repair ❑ 10. Describe Fuel Type 11. No. Equipment BTU - M. Ea. No. Equipment CFM Forced Air ~ (-"1('' Air Handling: Mfg. - ; Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and coded governi g this type of prk. Signed or Rough Final Inspectio4 Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING ~ RMIT Permit No. ~ CITY OF E GAN Fee 626 c, Pl t~ Fill in numbated spaces S/C Type or Print legibly Tot. ell 1. Date, ~l/ 2. Installatio~i Cost .2 Craw Jdae Lot 81k.A S4 3. Job 1Xddr$Ss 4. Owner r 5. Contractor 1[-0 11(/(-/AA Phone 6. Address 7. City State Zip 8. Building Type: Residential U" Commercial ❑ Institutional ❑ r k t. Work Description: New Ic'''y Add Alter ❑ Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield - Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets i 12. 1 hereby certify that the above information is true and correct, and I agree to comply~11 ordinan ~n codes governing this type of work.. Signe for 4- Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CASH RECEIPT CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE J~ 19 RECEIVED FROM AMOUN ' !-I S& DOLLARS 100 f-I CASH HECK i FOR ) zdr d"e FUND CODE AMOUNT i 3_7 / ? r o v , Tha You B Y t) k:/S+~ Lam, 7' " . White-Payers Yellow-Postin Pink-File Copy-,, ..r Eagan, MN 551 GATE: Zoning: No. of Units: Address: r LZI 34 Site Address: 741 r re Way rlu ~W s Plumber 7-3-44 44321 I agree to "a* with the Cky of Ewan Connection Charge- 423.00 pd Account Deposit: 15• Permit Fee: p Surcharge: By Misc. Charger. Date of Insp.: Total: Insp.: Doh Paid: P-0 Box 21IP9 PtRMIT NO.: Eagan, MN 5d2j 4 DATE: Zoning: ~,CC No. of Units: Will It CAvnec: Rarer Address: L21 34 She. Address r kihirt eY Berl re : oln►dr Plumber: PIPM-th Meter No.: Connection Charge: .00 Size: Account Deposit:. 15.00 p Reader No,: Permit Fee: 10.00 pt i agree to comply with the city of fawn Surcharge: 63.00 pd Ordloooew Misc. Charges: ltte>Gf Total: By Dote Paid: Dnte of Insp.: Insp.: 3$3tf filet:' - 11 Sn P. O. Box 27w,7 9 Pte.` i'd.: 14 Eagan,01VIN S M21 DATE: Zoning: R1 No. of Units: 1 Owner Joseph 1411) ax Const A&%ess: krw `Site Addret - 47.41.Berkabirei-Nna L21 B4 Berkshirt Ponds Plumber. I_5 $ Mater No. 2 ` C~nnection Charge: 470.00 pd :000wr,t Deposit: 15.00 pd Reader n_ Permit Fee: 10.00 Rd agree to comply Wuh the City of Eagan Surcharge: .50 yd Ordinance. Misc. Charges: 63.00 pd meter. 2L Total: BY Date Paid: Date of Insp.: Insp t 0101 6 This request voidA/9 18 monf° from -A L~~ '4&- Re t Dat Fire No. RReoq .,adInspection OReady Now ill Notify IInspec- Yes ❑ f for When Ready I Li ensed Ele trical Contractor 1 hereby request inspection of above ❑ Owner electrical work installed at: Street Address, Box r Route o. City Hriq 1 iR~ I h5 Section No. Township Name or No. Range No. In ty Occupant (PRINT) F one No. Po ppl far Ad ss Elect icaI Con.tr ct (Company Nam) C tractor's License No, A /1 0! 1 a/ Mailing Address ontractor or Owner Making Installation) (J Autho zed Signature ont actor Owner Maki Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 _ ENCLOSED, REQUEST FOR ELECTRICAL INSPECTION r oa ee instructions for campletntt this form on back of vellow copy. 1717 A ""X"" Below Work Covered by This Request New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Li htin Fixtures Apt. Building Dryer Electric Heaton Commercial Bldg. urnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm ther (Specify) __M her Ispecify) Other peel y Other other Compute Inspection Fee Below N Fee Service Entrance Size h Fee Feeders/Subfeeders ft Fee Circuits o to 200 Amps 0 to 30 Amps 0 to 30 Am Above 200 Am )s 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100-Am Above 100_A Transformers Irri tion Booms v Partial/Other Fee Signs Special Inspection Rerrx~rks $ TOTAL FEE \ Rough-in 1f Date the fie al 3 inspector, hereby tity that the above Final r 49 r pection has been l ~7 made. This request void 18 months from CITY OF EAGAN ~T 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1~I G 9269 - PHONE: 4548100 BUILDING PERMIT Receipt # -7~--) To be used for SF DWG/GAR Est. Value $60,000 Date JULY 5 Iq 84 4741 BERKSHIRE WAY R3 Site Address Erect Occupancy Lot 21 Block 4 Sec/Sub. BERKSHIRE PONDSAIter ❑ Zoning R1 Parcel No. 10-13750-210-04 Repair ❑ Fire Zone N/A Enlarge p Type of Coast. V Name JOS MILLER CONST Move ❑ # Stories z Address 18133 CEDAR AVE Demolish Q Length 52 City FARMINGTOI~hone 454-4753 Grade ❑ Depth 38 Sq. Ft. Approvals Fees Zo Name SAME 00 OU Address Assessment Permit . t• City Phone Water & Sew. Surcharge 30 _ 00 Police Plan check 156 - 50 wW Name Fire SAC 525.00 ~ Address Eng. Water Conn. 470.00 <W City Phone Planner Water Meter 63.00 Council Road Unit 260.00 1 hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable 5 0 State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee OS MILLER CONST A Building Permit Is issued to: on the express condition that KC-11 p icable Stat o inn sots Statutes and City of Eagan Ordinances. nil work shall be done in accordance wit K-Vq ,ding Official CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ,1"M ' 926( * PHONE- 4548100 BUILDING PERMIT Receipt # To be used for I3'.'+G f E: t,i: Est. Value } 6 U '0 ~)o Date JULY 5 19 34 4741 l3F',RkSh,1R!: V,,AY R Site Address A Tt' Erect` Occupancy Lot 21 Block x; Sec/Sub. Sa.~:I .4 CjjSAlter p Zoning ' Parcel No. I t- 13 75 0 -1 10-0 4 Repair E] Fire Zone Enlarge p Type of Const. of Name Move p # Stories Address Demolish p Length o F iN 1'%; 1: : G'i 0 ' 4 5 4 1 City hone Grade p Depth Sq. Ft. Approvals Fees o Name Ij uU Address Assessment Permit M City Phone Water & Sew. Surcharge 156.50 Police Plan check Name 0 Fire SAC Address Eng. Water Conn. 4-10 ` 0 0 <W City Phone Planner Water Meter U \ Council Road Unit 0 0 1 hereby acknowledge that 1 have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total r State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: on the express condition that all work sholl be done in accordance with'all applicable State of Minn so o Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Misc. Permit No. Holder Plumbing % (p Well Water Disp. Sewer \ 3 '5b Electric rw ' Inspection Date Insp. Other Footings Foundation Framing Rough Plbg. R-0 Rough HVAC Insulation Final Plbg. Final HVAC ~r Final 3C c( ~~lr Water Describe Location: Well Sewer Pr. Disp. CITY OF EAGAN Remarks Addition BERKSHIRE PONDS Lot 21 Blk 4 Parcel Owner Street 474 Berkshire Warr State Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1982 239.09 23.91 10 167.39 A014536 9-11-84 STREET RESTOR. q 123-80 8-95 15 123.80 0009661 10-15-84 GRADING SAN SEW TRUNK 1,q q 1982 176.04 11.74 15 140.85 A014536 9-11-84 SEWER LATERAL abq 1982 57.24 3.82 15 45.81 A014536 9-11-84 03 Sewer T.afp-rall -AlPt 1985 9,27ff 1-62 15 2 1 0-15-84 WATERMAIN S 1982 46.09 3.07 15 36.88 A014536 9-11-84 y3 WATER LATERAL 24-91 1 c; 373.61 C009661 10-15-84 WATER AREA Y 1982 176.04 11.74 15 140.85 A014536 -11-84 STORM SEW TRK !311 1985 385-03 25-67 15 385.03 0009661 10-15-84 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 260.00 44521 -5- WATER CONN. 470.00 BUILDING PER. #9269 SAC 525.00 PARK 2/84 CITY OF EAGAN t. a APPLICATION FOR PERMIT i SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPERTY ADDRESS : LEGAL DESCRIPTION: (Lot/Block/Subdivision or Tax Parcel I.D. Number) IF E{ISI_;G STRU=3RE, DALE OF ORIGINEUII., 1TG P=11111' ISSUANCE: ear PRESr ;i ^.`IItiY;/P??OPOSE SSE: b--R-1 S AGUE FATTT,Y 0 R-2 DUP= MV00 UNITS) C1 R-3 TOWNHOUSE (THREE + UNITS)( UNITS) ❑ R-4 APAR21EN '/CONDOMINIUM ( UNITS) ❑ COMMERCIAL/RETAIL/OFFICE ❑ L' USTRIAL ❑ INSTITUTIONAL/GOVERNMENT 2) APPLICANT (PLEASE PRINT) NAME : c /'7'I l~ b-- ADDRESS: CI'T'Y, STATE, ZIP: PHONE: 3) PLUMBER PLEASE PRINT) FOR CITY USE ONLY NAME: / u p l~f3r~Py~ PLUMBERS LICENSE: ADDRESS: Ac Active CITY, STATE, ZIP: moLCg 071) Expired PHONE: "'T Q Pot Record 7~5 PLUMBER LICENSE #Q~ocS~ Staff nitia 4) OCCUPANT/OWNER NAME (PLEASE PRINT) ADDRESS: CITY, STATE, ZIP: PHONE: 5) INDICATE WHICH PERMIT IS BEING REQUESTED: CONNECTION TO CITY SEWER CONNECTION TO CITY WATER OTHER (PLEASE DESCRIBE) 6) INDICATE ONE: PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2, 3, 4 ABOVE (Circle one) 7) SIIATURE: DATE :Gt .2 3 I! wR:a~~ws~~s ar t r~ a~! rrt'+r asa a~ as iii w4~rss.s w ar i wtr ri t r JIM ii at aw Int:s a~a aY. w F O R C I T Y U S E O N L Y y PERMIT # ISSUED FEES : $ SEWER PERMIT (INCLUDE SURCHARGE) $ WATER PEPDIIT (INCLUDE SURCHARGE) r WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SET ER TAP $ r ACCOUNT DEPOSIT - SEWER $ ACCOUNT DEPOSIT - WATER $ WAC SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ OTHER $ TOTAL $ 'a AMOUNT PAID/RECEIPT # DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? C~ YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: x APPROVED BY: eta,; TITLE DATE: F~N ! 1% "am:" okm N*m a* 40,00 OEM Mamma W:pg arja rt sew of P 'NW, ~ ~ea Y Or Is w/01"atic T aft of Zb Be used For wluat/iorr , -41 2~4 USS Site Address: ~ - IZ- 3 oocuwm I,ct 81odc Sec./51ab. ` X - Parcel papoir ` Z nralarge Of ' TAIM Owner: s 5 vatua& Ad~lreart c~ra~s ~ City/Zip Code: For* . Phone 1: _ AF1P~ 31 3 + p° IPN,, It Qrantractw: eer/3ewer Plm Chi Address : Folios SAC City/Zip Code:``' Fire t . Water MOUr ~ Phone Planner road twit 77 ~ : co Counci Arch. /ftg.: H]dq. ofd. Address: ABC City/zip Code X1.7 r'~ M1 Phone 4: r ; w I ~ : _ a r... ROBE CONSULTING 4NO1NCIRS ENGINEERING PLANNtAS and LAND iUAVIVOAS COMPRNY, INC. IN0 EAST 1461h STREET, EUItNSVILLE, MINNESOTA 6S33T PN 432-3000 L.DT 2/, BLaC,~ BER~f'sH/RE' PD/YDS, DA/lOT/9 COU/VTY, 1011YNe'•.Se r"19 r) DRA1N41'1 ~ )~IIW41TY EASEMENT 93z,%~ N &8* 2 6' ¢8" NORM 3z.Z~ /os, oa3Z; j an A ✓ I~ V00 / F 0KG M7 a N 0% w o ~ i~ ~1\1 93°-_Z~ Z654B"Gd 2-9 4~ v i ► -V FRONT QU/G x°13°0; DENOTES eWSTIAI FZEXI. rION (q3~ DENOTES /3QOPl 5ED EL Ed,~JT/ON //V d/C~4 TE'S D//QECT~ON Cyr SU~f'F.9CE DRA/N~?G~° F//y/Sh~EL? ~'A~PAO'~ FL apFr' ELE!%9T14✓Y = 93Z, Z,3 I hereby certify that this is a true and correct representation of a tract of land as shorn' and described hereon.. As prepared by one on this i` s= day of ~ ~ Minno Rego Koo / PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA099527 Date Issued: 06/14/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 4741 Berkshire Way Lot: 21 Block: 4 Addition: Berkshire Ponds PID: 10-13750-04-210 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: I Carver Construction Inc Pablo PaiTal 134 Schletti St 4741 Berkshire Wad St. Paul NIN 55117 Eagan NIN 55121 (651) 645-488 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature